Changes in Edema, Pain, or Range of Motion Following Manual Edema Mobilization: A Single-case Design Study

Priganc, Victoria; Ito, Max

doi:10.1197/j.jht.2008.04.005

Cited by 17 publications

(8 citation statements)

References 10 publications

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“…A second possible reason is superficial relaxation and warming provided by soft stimulation, which affects the autonomic nervous system and activates the parasympathetic system. 11 Similar to the MLD technique, Sahraei et al reported that lightpressure Swedish massage applied in the treatment of RA significantly reduced pain, and so decreased the requirement for pain relief. 24 According to our clinical experience, it is important to determine applicable and reliable treatment methods to reduce complications in a disease such as RA that presents with exacerbation periods including peaks at different times.…”

Section: Re Sultsmentioning

confidence: 99%

“…Furthermore, the superficial relaxation and warming provided by soft stimulation create a positive effect on the autonomic nervous system and activate the parasympathetic system. 10,11 Gentle stimulation on the skin increases tactile input and closes pain pathways. In the door control theory proposed by Wall and Melzack, low rhythmic stimuli such as MLD can create inhibition of the nociceptive receptors of the skin.…”

mentioning

confidence: 99%

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Does manual lymphatic drainage improve upper extremity functionality in female patients diagnosed with rheumatoid arthritis? A randomized controlled study

Akdeniz Leblebicier,

Cihan,

Şahbaz Pirinççi

et al. 2023

Int J of Rheum Dis

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ObjectiveTo demonstrate the effect of manual lymphatic drainage (MLD) on upper extremity functionality in patients with rheumatoid arthritis (RA).Materials and methodsThirty‐nine female patients diagnosed with RA who were in remission were included in the study. The study group included 19 participants (mean age 50.63 ± 9.83 years), the control group included 20 participants (mean age 55.05 ± 5.89 years). The patients were randomized into two groups as home exercise program plus MLD and home exercise program alone. Both groups received treatment for 4 weeks. The primary outcome measure was pressure pain threshold (PPT). The patients were evaluated using the PPT, visual analog scale (VAS), hand–wrist joint range of motion examination, hand dynamometer and pinchmeter measurements, and the Rheumatoid Arthritis Quality of Life Scale before the interventention and at the end of the 4th week.ResultsThe PPT evaluated at the thumbnail, wrist, and trapezius significantly increased in the study group after treatment (p < .001, p = .001, and p < .001, respectively). MLD was found to significantly increase the PPT at the thumbnail compared with home exercise program (p = .047). The VAS score significantly decreased in the study group (p = .011). The level of increase in radial deviation was statistically higher in the study group (p = .004).ConclusionManual lymphatic drainage had a positive effect on pain, PPT, and range of motion in RA patients in remission. MLD can be added to medical and other conservative treatments in RA patients.

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Section: Re Sultsmentioning

confidence: 99%

mentioning

confidence: 99%

Does manual lymphatic drainage improve upper extremity functionality in female patients diagnosed with rheumatoid arthritis? A randomized controlled study

Akdeniz Leblebicier,

Cihan,

Şahbaz Pirinççi

et al. 2023

Int J of Rheum Dis

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“…One study 11 was excluded because it was rated as level 4 evidence, using 5 participants in a single-subject A-B design. Therefore, 3 met the inclusion criteria [12][13][14] and were included.…”

Section: Focused Clinical Questionmentioning

confidence: 99%

The Effectiveness of Manual Lymphatic Drainage in Patients With Orthopedic Injuries

Majewski-Schrage

Snyder²

2016

Journal of Sport Rehabilitation

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Clinical Scenario: Managing edema after trauma or injury is a primary concern for health care professionals, as it is theorized that delaying the removal of edema will increase secondary injury and result in a longer recovery period. The inflammatory process generates a series of events, starting with bleeding and ultimately leading to fluid accumulation in intercellular spaces and the formation of edema. Once edema is formed, the lymphatic system plays a tremendous role in removing excess interstitial fluid and returning the fluid to the circulatory system. Therefore, rehabilitation specialists ought to use therapies that enhance the uptake of edema via the lymphatic system to manage edema; however, the modalities commonly used are ice, compression, and elevation. Modalities such as these may be effective at preventing swelling but present limited evidence to suggest that the function of the lymphatic system is enhanced. Manual lymphatic drainage (MLD) is a manual therapy technique that assists the lymphatic system function by promoting variations in interstitial pressures by applying light pressure using different hand movements. Focused Clinical Question: Does MLD improve patient-and disease-oriented outcomes for patients with orthopedic injuries?

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“…This type of intervention assists in blood and lymph flow circulation (Lewis, 2003). In a quasi-experimental study, Priganc and Ito (2008) found that manual edema mobilization in persons with orthopedic injuries, effectively decreased edema in four of the five subjects, which supports the efficacy of this modality.…”

Section: Interventions and Modalities Used For Edemamentioning

confidence: 56%

“…Edema also leads to an increased amount of fluid within the interstitial spaces where the injury occurred. This increase in interstitial fluid places more pressure on the pain receptors in the skin, which causes an increase in pain (Priganc & Ito, 2008).…”

Section: Overview Of Edemamentioning

confidence: 99%

A Randomized Controlled Trial Comparing Contrast Baths to Cryotherapy in Patients with a Wrist Fracture

Brown¹,

Phipps²

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This thesis project would not have been possible without the guidance and support from our faculty, particularly our professor Kitsum Li. This project was special to her and she took us under her wing while we completed this. Also, we would like to thank Mills Peninsula Health Services and all the participating therapists for allowing us to use their facilities and patients for this research project. We would like to thank Dominican University of California for supplying a grant to fund the use of blind assessors, which was an important aspect of this study. Also, we would like to thank the DUC cohort of 2014. They are a wonderful group who has created a supportive and encouraging environment for us to learn and grow. We will forever consider them our friends. Thanks to Alison Virzi for being a helpful second reader. And a special thanks goes to Mark McAlister for providing direction and extra time on the results of our study. Elizabeth: I would like to acknowledge my thesis partner, Brittany. I seriously do not know how I would have made it through this entire thesis process without your encouragement and of course all of your silly mannerisms. I would like to thank my mom, dad, stepdad, stepmom, brother, boyfriend and extended family for supporting me throughout my educational achievements. Your love and support is why I am here today and I know that I wouldn't be able to do this without you; I love all of you very much. I would also like to thank all of my loyal friends who have stood by my side and learned how to deal with my busy schedule. I would lastly like to thank Norms Place for catering to all of my shift schedule needs and to all of my coworkers for working extra hard, so I could work on my thesis. v Brittany: I would like to thank my large and supportive family. Dad, Mom, Sherry, Sam, Grandma, Granddad, my many siblings, Amery, and Liam for giving me the resources and confidence to be able to complete this great accomplishment in my life. They have always been a soft place for me to land when I needed support or given me that extra push when life got too comfortable. I would like to also thank the girls of "OTHQ." We started as strangers and I feel so lucky to have been able to live with you girls for this wonderful period in our lives. We have so many great memories together and I hope this is only the beginning of our friendship. Thank you Errol, for coming into my life and showing me how it should have been all along. Thank you for celebrating successes with me and being my person when I needed it. Liz, thanks for being not only a roommate but also an amazing thesis partner. You and I have shared many laughs, tears, and stress through this process and I'm so happy we went through this experience together! vi Table of Contents Acknowledgments …………………………………………………………………...… iv

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Changes in Edema, Pain, or Range of Motion Following Manual Edema Mobilization: A Single-case Design Study

Cited by 17 publications

References 10 publications

Does manual lymphatic drainage improve upper extremity functionality in female patients diagnosed with rheumatoid arthritis? A randomized controlled study

Does manual lymphatic drainage improve upper extremity functionality in female patients diagnosed with rheumatoid arthritis? A randomized controlled study

The Effectiveness of Manual Lymphatic Drainage in Patients With Orthopedic Injuries

A Randomized Controlled Trial Comparing Contrast Baths to Cryotherapy in Patients with a Wrist Fracture

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